Impact of Individual and Family Self-Management Programme on Hemodialysis-Treated Patients’ Adherence to Phosphorus Control and on Their Calcium x Phosphorus Product
Keywords:
individual and family, self-management programme, adherence, phosphorus control, calcium x phosphorus product, hemodialysis patientsAbstract
Objective: To examine the impact of an individual and family self-management programme on patients treated with hemodialysis in terms of their adherence to phosphorus control and their calcium x phosphorus product
Design: Two-group quasi-experimental research with repeated measurements
Methodology: The sample consisted of 59 patients treated with hemodialysis and a
phosphate-binding medication at a tertiary hospital. Twenty-nine of the patients were assigned to the experimental group and 30 into the control group. The experimental group participated in an individual and family self-management programme developed based on Ryan & Sawin’s (2014) Individual and Family Self-Management Theory. The programme was administered in three stages: 1) knowledge and belief building; 2) improvement of skills and self-regulation ability; and 3) social facilitation. The instruments for data collection consisted of: 1) a demographic questionnaire; 2) a questionnaire on the history of illness and hemodialysis; 3) a questionnaire on phosphorus control behaviour; and 4) a clinical outcome record form. The data were analysed using descriptive statistics, chi-square tests, and the repeated measures ANOVA.
Results: The experimental group’s mean post-intervention score on adherence to phosphorus control was significantly higher than its pre-intervention score, and also significantly higher than that of the control groups as measured in weeks 4, 6, and 8. Moreover, the experimental group’s ratio of patients with < 55 mg2/dl2 calcium x phosphorus products was significantly higher than that of the control group (p < 0.5).
Recommendations: It is recommended that nurses apply this individual and family
self-management programme to treating hemodialysis patients in order to promote phosphorus control behaviour and reduce calcium x phosphorus products.
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